MRS. DEBORAH ANN WISE CNS NPI 1134340599

NPI Information

NPI: 1134340599
Provider Name: MRS. DEBORAH ANN WISE, CNS
Classification: Clinical Nurse Specialist - 364SX0200X
Entity Type: Individual

Specialization: Oncology

PECOS Registration: Yes

Address:
3700 SOUTHERN BLVD STE 401
KETTERING, OH
ZIP 45429
Phone: (855) 500-2873
Get Directions

MRS. Deborah Ann Wise, CNS is an oncology clinical nurse specialist in Kettering, OH with 27 years of experience. MRS. Deborah Ann Wise, CNS NPI is 1134340599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3700 SOUTHERN BLVD STE 401
KETTERING, OH
ZIP 45429-226
Phone: (855) 500-2873
Fax: (937) 281-3913

The NPI 1134340599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WX0200X	Registered Nurse	Oncology	RN167460	OHIO	No
2	364S00000X	Clinical Nurse Specialist		COA02210NS	OHIO	No
3	364SX0200X	Clinical Nurse Specialist	Oncology	COA02210NS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0067949	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »